Olivia Nicole Bounthanom is a massage therapist in Jber, AK. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Olivia Nicole Bounthanom NPI is 1235642034. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4110 BULLARD AVE UNIT B
JBER, AK
ZIP 99506-406
Phone: (907) 351-8383
Fax: (907) 351-8383
The enumeration date for this NPI number is 11/15/2017 and was last updated on 11/15/2017.